| NPI | 1235309923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21440) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008006385) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2024-08-15 |